Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS EARL VICKSTROM, MD
ActiveDOUGLAS EARL VICKSTROM, MD is a Internal Medicine healthcare provider located in BETTENDORF, Iowa. NPI 1063529105 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BETTENDORF, IA
Registration Details
- NPI Number
- 1063529105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.99453866814 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19440 (IA)
Practice Information
- Address
-
2979 VICTORIA STVA OPT CLINICBETTENDORF, IA, 52722Browse IA providers · Browse ZIP 52722
- Phone
- 5633328528
- Fax
- 5633329331
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in BETTENDORF, IA
| Name | Credential | NPI |
|---|---|---|
| EDWIN V MOTTO | MD | 1699774455 |
| WILLIAM P JEROME | MD | 1215915855 |
| JAMES E KETTELKAMP | MD | 1346228970 |
| DR. JAMES DOUGHERTY KING | DO | 1720058019 |
| DR. ANANDA R REDDY | M.D. | 1396760716 |
| ISHVAR B PATTANSHETTI | MD | 1861583064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.